Pregnant Week 39

by | June 24, 2020

If you are expecting your first child, you are likely to go a little over time. However, midwives often give birth two to three days before the postponed delivery date.

Most women at this time are quite tired of being so heavy, and look forward to childbirth. Impatience can be mixed with both expectation and concern. Try to trust that your body will do this in the best way!
Your breasts are also preparing for your toddler, and have already started producing the first, healthy colostrum.
Maybe you continue to gain weight or you stop now as you approach the end. You may also suffer from diarrhea.

Pregnant week 39

If it is your first child, it is most common for the birth to start after the due date. If you are a nanny, you will statistically give birth to the next child two to three days earlier than expected.
The womb has matured and softened. Maybe the jelly-like mucus is now loosened, but not all women notice this. However, the release of the mucus plug is no guarantee that the delivery has started.
The baby’s intestines are filled with green-black baby beaks, “meconium”. It is not ordinary poop but a mixture of lanugo hair, gall pigment, cells and secretions from the stomach and intestinal wall.
To cope with any oxygen deficiency during childbirth, the baby stores extra energy in the liver and heart. Extra nutrition is also needed to enable the child to survive the first 24 hours of life before the mother’s milk production has started.

Medical pain relief during childbirth

No childbirth is the other equal and how much pain one experiences is individual. For those who feel the pain is unmanageable, there are several ways to get relief. Here we talk about the different alternatives on the medical path.

Choosing pain relief method

It is primarily you who will give birth who decide what you want for pain relief. Get to know the different methods and discuss the alternatives with your midwife at your midwife reception in advance. All midwives offer free parent training. In addition, there are various birth preparation courses to go.

During pain work, there are many forms of non-medical pain relief. It is also possible to get medical pain relief, here are the most common methods:

Painkillers

It is common for painkillers to be taken when needed during certain parts of childbirth, especially during the latency phase and towards pain relief. Most often, it is drugs containing paracetamol, such as Alvedon, and it is very important not to exceed the maximum dose.

Laughing gas

Nitrogen is the most common medical pain relief method, with about 70 percent using it during childbirth. Many people feel that nitrous oxide provides good pain relief. The nitrous oxide inhales through a breathing mask each time a pain begins to feel and then pauses as the pain begins to run out. The effect comes after about 30 seconds and lasts a few minutes after you stop breathing in the mask. It can be experienced as a feeling of intoxication, some even become a little nauseous by the nitrous oxide.

In order for the nitrous oxide to function effectively, it is important to learn the technique, which can take up to 20 minutes, and that you start before the pain is too severe. The nitrous oxide disappears quickly from the body and has no known negative effects on the child or the labor.

Morphine-like preparations

There are different types of morphine-like preparations, but morphine is most common. It is given with the help of a syringe or in tablet form, sometimes in combination with other drugs. Morphine is mainly given during the latency phase of the opening phase if it is elongated and the woman is very tired and needs rest. During the active part of the opening phase, it is very uncommon for morphine to be used.

It is good to know that the child is affected by morphine. It is harmless for the baby in the stomach, but if given shortly before birth, the baby can become dull and sleepy after birth.

Soothing agent / sleeping dose

The use of sedatives has greatly decreased in childbirth care. The side effects are considered too troublesome for the child. Women who need to sleep before giving birth are primarily offered other solutions, using non-medical pain relief methods.

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Instead, you are given a so-called “sleeping bag”. The content of this varies locally, usually Alvedon is given together with Bricanyl, a tablet that reduces the frequency of the painters for a couple of hours. However, the painters always return, but the mother can get a few hours of needed rest before that.

Back Anesthesia – Epidural Blocked (EDA)

It is commonly referred to as back anesthesia or epidural, but the real name is epidural blocked. It is usually given when the uterine mouth is open at least 3-4 inches.

It is given by an anesthetist who inserts a thin plastic tube into a space in the spine outside the spinal cord. Then the nerves that transmit pain from the uterus to the brain are blocked, which usually give good pain relief. With the most common form of EDA, you have the feeling in your legs and can be up and running. The dosage of drugs can then be given at regular intervals or by means of a so-called PCA pump.

Continuous fetal monitoring is normally performed. The mother gets a cannula in her hand or arm, since back anesthesia can cause a fall in blood pressure and then you need to give medication to raise the blood pressure. The work can also be worn out, and about 80 percent of women who have back anesthesia also receive pain-boosting drip to stimulate the work.

Back anesthesia usually provides very good pain relief. However, the woman may find it harder to groom. There is a small risk of frostbite as well as troublesome itching, and it may also be more difficult to urinate during labor and in the first hours after childbirth. You can also see an increase in the use of suction clock when the woman has a back anesthesia. More rarely, other, slightly more complicated side effects also occur.

Spinal Anesthesia

Spinal anesthesia is also a form of spinal anesthesia and differs from a purely technical epidural anesthetic. The drug is injected with a thin needle directly into the spinal chamber and is usually used in caesarean sections but can also sometimes be used in a normal delivery because the process is very fast.

Uterine anesthesia – Paracervical block (PCB)

PCB is a local anesthetic of the nerves around the cervix and is given by syringe at the bottom of the vagina. It takes about 20 minutes to prepare the syringe, but pain relief is felt after a few minutes and it lasts for 1.5 hours.

The anesthetic can be given from the fact that the cervix is ​​open 3–4 cm until it is open 7–8 cm and can be repeated once if needed. To install a PCB, the water is required and the delivery progresses normally. Treatment requires continuous fetal monitoring. Is very unusual today in Sweden.

Pelvic floor anesthesia – Pillow shower block (PDB)

PDB provides pain relief in the pelvic floor as well as between the opening and the anus. It is given during the expulsion phase if the woman experiences this very painful and is common if the child needs to be born with the help of a suction clock. Also used after childbirth when the midwife is going to check if there are any needles that need to be sewn. The anesthetic can be applied in two different ways; an outer or an inner technique.

Pain relief may be needed even after delivery

Occasionally, the midwife may need to sew any rashes that have occurred in connection with childbirth, and then a local anesthetic can be added. In the case of superficial ruptures, it is often sufficient to use an anesthetic spray, but one can also apply a pelvic anesthetic that provides more effective pain relief.

Pain can occur for several hours after delivery. If the pain becomes too cumbersome, it can be alleviated with regular painkillers with acetaminophen, such as Alvedon, or tablets with morphine-like effect.